PN 3003 MENTAL HEALTH CLINICAL
ASSESSMENT 2026 COMPLETE PSYCHIATRY
CASE QUESTIONS AND SOLUTIONS
◉ Concentration ↓, indecisiveness.
Answer: difficulty concentrating and making decisions.
◉ Appetite changes.
Answer: changes in appetite (↑ or ↓, weight change).
◉ Psychomotor agitation/retardation.
Answer: restlessness or slowed movements.
◉ Suicidal thoughts.
Answer: thoughts of self-harm or suicide.
◉ SSRIs (Selective Serotonin Reuptake Inhibitors).
Answer: first-line meds for depression.
◉ Examples of SSRIs.
,Answer: Sertraline (Zoloft), Fluoxetine (Prozac), Citalopram
(Celexa).
◉ Watch for in SSRIs.
Answer: ↑ risk of suicide in first few weeks, Serotonin Syndrome,
Sexual dysfunction.
◉ Teaching for SSRIs.
Answer: Takes 4-6 weeks to work, don't stop suddenly to avoid
withdrawal symptoms.
◉ SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors).
Answer: another class of medications for depression.
◉ Examples of SNRIs.
Answer: Venlafaxine (Effexor), Duloxetine (Cymbalta).
◉ Watch for in SNRIs.
Answer: ↑ BP, GI upset, same suicide risk early on.
◉ TCAs (Tricyclic Antidepressants).
Answer: older medications for depression.
, ◉ Examples of TCAs.
Answer: Amitriptyline, Nortriptyline.
◉ Watch for in TCAs.
Answer: cardiac arrhythmias, anticholinergic side effects, risk for
overdose.
◉ MAOIs (Monoamine Oxidase Inhibitors).
Answer: last resort medications for depression.
◉ Examples of MAOIs.
Answer: Phenelzine (Nardil).
◉ Watch for in MAOIs.
Answer: hypertensive crisis if taken with tyramine foods.
◉ Phases of the Nurse-Client Relationship.
Answer: Orientation, Working, Termination.
◉ Orientation Phase.
Answer: Build trust, establish rapport, define roles, set boundaries.
ASSESSMENT 2026 COMPLETE PSYCHIATRY
CASE QUESTIONS AND SOLUTIONS
◉ Concentration ↓, indecisiveness.
Answer: difficulty concentrating and making decisions.
◉ Appetite changes.
Answer: changes in appetite (↑ or ↓, weight change).
◉ Psychomotor agitation/retardation.
Answer: restlessness or slowed movements.
◉ Suicidal thoughts.
Answer: thoughts of self-harm or suicide.
◉ SSRIs (Selective Serotonin Reuptake Inhibitors).
Answer: first-line meds for depression.
◉ Examples of SSRIs.
,Answer: Sertraline (Zoloft), Fluoxetine (Prozac), Citalopram
(Celexa).
◉ Watch for in SSRIs.
Answer: ↑ risk of suicide in first few weeks, Serotonin Syndrome,
Sexual dysfunction.
◉ Teaching for SSRIs.
Answer: Takes 4-6 weeks to work, don't stop suddenly to avoid
withdrawal symptoms.
◉ SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors).
Answer: another class of medications for depression.
◉ Examples of SNRIs.
Answer: Venlafaxine (Effexor), Duloxetine (Cymbalta).
◉ Watch for in SNRIs.
Answer: ↑ BP, GI upset, same suicide risk early on.
◉ TCAs (Tricyclic Antidepressants).
Answer: older medications for depression.
, ◉ Examples of TCAs.
Answer: Amitriptyline, Nortriptyline.
◉ Watch for in TCAs.
Answer: cardiac arrhythmias, anticholinergic side effects, risk for
overdose.
◉ MAOIs (Monoamine Oxidase Inhibitors).
Answer: last resort medications for depression.
◉ Examples of MAOIs.
Answer: Phenelzine (Nardil).
◉ Watch for in MAOIs.
Answer: hypertensive crisis if taken with tyramine foods.
◉ Phases of the Nurse-Client Relationship.
Answer: Orientation, Working, Termination.
◉ Orientation Phase.
Answer: Build trust, establish rapport, define roles, set boundaries.
